Individual
BANOU RAFIEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1837 W 4700 S, TAYLORSVILLE, UT 84129-1103
(801) 967-0682
Mailing address
3415 E BERNADA DR, SALT LAKE CITY, UT 84124-4747
(801) 347-3188
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7125555-1701
UT
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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